Individual
ALYSSA BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 640-5134
Mailing address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 640-5134
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002011A
IN
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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